Borrower Information Sheet
13051 Nordland Dr, Corona, CA 92880
Subject Property Address: ___________________________________________________________________________
Property Type: SFR[] Condo [] Townhome[] Attach[] Detach[] Owner[] Investment[]
Yuwei Chien
Borrower Name:_____________________________ Co-Borrower Name: _________________________
513-17-1053 DOB: ______________
SSN:___________________ 10-09-81 SSN:___________________ DOB: ______________
Marital Status: Married[]; Un-married[]; Separated[] Marital Status: Married[]; Un-married[]; Separated[]
2
Number of dependents:_____ 13 months
Age: _____________ Number of dependents:_____ Age: _____________
Home Tel: _______________ 415-269-5981
Cell: _____________ Home Tel: _______________ Cell: _____________
chienyuwei@hotmail.com
Email address: _______________________________ Email address: _______________________________
Your current Address: Your current Address:
133 yellow daisy, Irvine, CA 92618
____________________________________________ ____________________________________________
13 mo
Own [] or Rent [] / #Years at present address: _______ Own [] or Rent [] / #Years at present address: _______
Monthly Rent: ________ or Housing Exp:___________ Monthly Rent: ________ or Housing Exp:___________
Are you: US Citizen[] ; PR Alien [] ; Visa _____ [] Are you: US Citizen[] ; PR Alien [] ; Visa _____ []
** Need 2 years Residence History and employment information **
(If current history is less than 2 years please attach 2nd page for 2 years information)
Microlite Inc
Employer: __________________________________ Employer:__________________________________
15375 Barranca Pkwy G-108
Work Address: ______________________________ Work Address: ______________________________
8776688856tel#:_______________
Work tel#: ____________HR 9493987833 Work tel#: ____________HR tel#:_______________
Owner
Position: ___________________________________ Position: ___________________________________
4
# Yr current Job: _____# 8
Yr same line of work:_____ # Yr current Job: _____# Yr same line of work:_____
9000.00
Monthly Income: ____________________________ Monthly Income: ____________________________
Type of income: W2 [] ; 1099 [] ; self-employed [] Type of income: W2 [] ; 1099 [] ; self-employed []
** Extra Job Information or if current employment less than 2 years **
Employer: __________________________________ Employer:__________________________________
Work Address: ______________________________ Work Address: ______________________________
Work tel#: ____________HR tel#:_______________ Work tel#: ____________HR tel#:_______________
Position: ___________________________________ Position: ___________________________________
# Yr current Job: _____# Yr same line of work:_____ # Yr current Job: _____# Yr same line of work:_____
Monthly Income: ____________________________ Monthly Income: ____________________________
Type of income: W2 [] ; 1099 [] ; self-employed [] Type of income: W2 [] ; 1099 [] ; self-employed []
Assets: Assets:
$2205
Checking: __________________________________ Checking: __________________________________
$2500
Saving: ___________________________________ Saving: ____________________________________
Investment Account: ________________________ Investment Account: ________________________
Retirement Account (401K/IRA): ________________ Retirement Account (401K/IRA):________________
** All Real Estate Owned please list below **
Address Type Market Mortgage Rental Insurance Tax HOA
SFR, Value payment Income,
Condo, if any
#unit
133 yellow daisy,
Irvine, CA 92618 SFR $1.5m 0 1100 18000/y 184
13051 Nordland Dr,
Corona, CA 92880 SFR $700,000 0 900 8500/y 0
I (we) authorize Hana Financial Inc. to check my(our) credit.
Signature: Borrower _________________ Co-borrower ________________
08/17/2015
Date: ________________
